# GOSHEN HEALTH SYSTEM, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Goshen Physicians, Goshen Physicians Family Medicine Syracuse
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710729488
- **Authorized official:** JONATHAN J YODER (VP)
- **Authorized official phone:** (574) 364-2560

## Contact information

- **Practice address:** 1033 N INDIANA AVE, SYRACUSE, IN 46567-1017
- **Practice address phone:** (574) 457-5701
- **Practice address fax:** (574) 457-5609
- **Mailing address:** PO BOX 834, GOSHEN, IN 46527-0834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/12/2024
- **Last updated:** 06/12/2024